National Provider Identifier Database

PONTCHARTRAIN CANCER CENTER
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

PONTCHARTRAIN CANCER CENTER
120 LAKEVIEW CIR
COVINGTON, LA70433-7512
Phone: 985-875-1202
Fax: 985-875-1205
Website:
Specialty Taxonomy Code
* Specialist 174400000X
Non-Pharmacy Dispensing Site 332900000X

* Indicates primary specialty

NPI Profile & details for PONTCHARTRAIN CANCER CENTER

NPI Number 1710286794
Legal business name
LBN
PONTCHARTRAIN CANCER CENTER
Authorized official DAVID OUBRE - (M.D.,/ OWNER)
Entity Organization
Organization subpart No
Enumeration date 03/16/2011
Last updated 01/05/2026 - About 5 months ago
Sole proprietor1 Not specified
Identifiers
  • LA License #: 203749
  • LA License #: 22330
  • LA License #: RN083847-AP04197
  • LA Medicaid: 1478377
  • LA Medicaid: 1665878
  • LA Medicaid: 1883883

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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